Narrow Results Clear All
- Communication Improvement
- Error Reporting and Analysis
- Human Factors Engineering 1
- Logistical Approaches
- Quality Improvement Strategies 1
Search results for ""
Cases & Commentaries
- Web M&M
Mary Caldwell, RN, PhD, MBA; Kathleen A. Dracup, RN, DNSc; September 2003
A patient given diltiazem rather than saline suffers severe bradycardia requiring temporary pacemaker.
Journal Article > Commentary
Saxena S, Kempf R, Wilcox S, et al. Jt Comm J Qual Patient Saf. 2005;31:495-506.
The authors applied failure mode effects and criticality analysis to improve laboratory value notification processes with non-emergent areas of care in a teaching hospital.